Insurance Verification And Authorization Coordinator

Tailor Your Resume for this Job

We are seeking a prior authorization coordinator/supervisor for our well-established authorizations and benefits team.

Job Responsibilities:

• Supervise small groups of staff
• Liaise with management to identify potential office dysfunctions
• Obtain pre-authorizations/pre-certification per payer requirements for services rendered and ensures authorization information is documented in the appropriately in the system
• Ensure that all authorization requests and benefit information are being processed in a timely manner
• Obtain accurate patient information and enter required information (non-clinical and structured clinical data) into the computer database
• Provide excellent customer service to all internal and external customers
• Maintain communication with the providers, clinical staff, and patients in relationship to authorization status
• Answer calls from physician offices, hospitals, insurance companies, and patients using exemplary customer service skills
• Contact various clinics, facilities, and companies to obtain information to accurately complete authorization requests in a timely manner

Qualifications:

• Experience in navigating insurances as well as helping patients obtain authorization for, but not limited to, Spinal and extremity injections, office visits, Advanced imaging including MRI, CT Scans, etc, Physical Therapy, interventional spine procedures and surgeries.
• Candidate must be well versed in obtaining routine authorizations, stat authorizations, and multi-visit appointment authorizations.
• Familiarity with workers compensation a plus
• Must have familiarity with what to do with authorization denials and pathways to submit for, check up on and confirm approvals.
• Arrange and maintain patient appointments to include surgery appointments.
• Candidate must be 100% reliable and dependable. Candidate must be upbeat and energetic and work well with the authorizations team.
• Good, friendly and professional rapport with patients, providers and co-workers.

Must have 1+ years of prior authorizations experience., preferably including procedures, stat situations, and surgical level of care experience.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Experience:

• prior authorizations: 1 year (Preferred)

Ability to Commute:

• Lakeland, FL 33813 (Preferred)

Work Location: In person